Have Your Claim Reviewed For Free

Let us review your claim documents for free to determine if the insurance company is correct in their denial, delay, or underpayment of your claim. There is absolutely no obligation to us for this complimentary service and we will provide you a courtesy opinion regarding your claim.

Rests assured that your claim documents are safe. They are downloaded into our private and secure server. No one besides the attorneys at Babinsky Legal, LLC will see your claim documents.

Scan or take a picture of your documents and submit them with this form.

NOTE: *There are many free scan apps for Android and Apple available if you don't have a scanner.

Contact Information

Name

Phone

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Claim Details

Your Pet Insurance Company

Insurance Policy

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Bill or Invoice

This is the bill or invoice showing the charge(s) that was submitted by you or your vet to the insurance company
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Declarations Page

This is a document that summarizes the coverage of your policy. It will indicate who the named insured is, policy number, effective dates of the policy, what the deductible is, the policy limits, etc.
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Documents Sent By Insurance

Please provide us any documents sent to you by the insurance company in response to the claim you submitted. That is, any EOBs (explanations of benefits) or EORs (explanation or review) or any other documents sent to you by the insurance company in response to your claim.
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Document Sent By You

Please provide copies of any claims applications/forms or correspondence submitted by you to the insurance company. Do not send any medical records at this time. If needed, we will ask you for them.
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